Characteristics of patients with nasopharyngeal carcinoma in Dr. Soetomo General Academic Hospital Surabaya

Background:Nasopharyngeal carcinoma (NPC) is a malignant tumor in the nasopharynx with a high incidence of metastasis. NPC is one of the most common cancers in Indonesia, and from the age distribution, it often affects the productive age population. This study aims to describe the characteristics of NPC patients in Dr.Soetomo General Academic Hospital from January 2017 – December 2018.Methods:This study is a retrospective descriptive by taking medical records of patients with NPC at Dr. Soetomo Hospital, Surabaya, from January 2017-December 2018, that meet the inclusion and exclusion criteria. The basic data taken are gender, age, education, and occupation. Complaints assessed are the main complaints of patients who make patients come for treatment listed in the medical record data.Results:Data from 262 patients showed that the five-year life expectancy for NPC sufferers in women is 84%, while in men, it is 78%. The main complaints of patients in this study were lumps in the neck in 130 patients (49.61%), with the highest distribution of patients based on stage IV a with 78 patients (29.77%), and the majority were non-keratinizing carcinoma undifferentiated type, with a total of 245 patients (93.51%).Conclusion:Male sufferers are more than females; the largest age group is 41-50. Most jobs are private employees, and most sufferers’ last education is high school. The main complaint of most patients was a lump in the neck, and the patient came with an advanced stage where the most found was stage IV. The histopathological type of most patients is non-keratinizing carcinoma undifferentiated typ

Etiology and Diagnosis of Deep Neck Infection

Infeksi leher dalam (Deep Neck Space Infections) dewasa ini merupakan infeksi yang relatif jarang terjadi di era postpenicilin. Penyakit ini menimbulkan tantangan yang cukup besar dalam diagnosis dan pengobatannya. Infeksi leher dalam dapat menyebabkan komplikasi yang serius bahkan fatal jika terlambat diketahui. Munculnya antibiotik telah menyebabkan evolusi berkelanjutan dalam hal etiologi, presentasi, klinis, dan pola resistensi antimikroba. Meskipun pemeriksaan dengan radiologi imaging dan terapi medis konservatif sudah cukup baik, pembedahan untuk drainase tetap menjadi terapi andalan dalam kasus infeksi (abses) leher dalam. Tujuan penulisan makalah ini adalah untuk mempelajari lebih dalam mengenai etiologi dan diagnosis infeksi leher dalam

The Effect of Hypertension on Hearing Sense

Hypertension is an important health problem because it has a high prevalence and can cause damage to target organs. The relationship between hypertension and hearing loss is not difficult to understand, when blood pressure becomes high blood vessel damage occurs. Hearing loss cases caused by hypertension are considerable, in America 64 million people aged 18 to 75 years suffer from hypertension, 40% with hearing loss. This damage is not centered on one area of the body, but the whole body is also affected, including the ears. The incidence of hearing loss in hypertension is due to the occurrence of inner ear damage due to high pressure in the vascular system, changes in microcirculation and the occurrence of ionic changes

Keratosis Obturans Management

Keratosis obturans is a large accumulation of plaque from desquamated keratin distributed in the ear. The etiology of keratosis obturans remains unclear. Keratosis obturans generally occurs in young patients between the ages of 5-20 years and can attack one or both ears. Patients suffering from keratosis obturans and have a history of bronchiectasis or sinusitis reported 77% of adolescent cases, only 20% of adult cases. The diagnosis of keratosis obturance is made on the basis of anamnesis and clinical examination, while CT scan is performed to determine whether or not bone erosion is present. This disease can be controlled by performing clearance of the ear canal periodically every one to three months to reduce debris accumulation. Ear dropping of mixtures of alcohol or glycerin in 3% peroxide, three times a week can often be helpful